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   IWeb 5.17.5 User Guide | 
	
This report can be displayed for viewing or printed.
To run this report, authorized users can click the Reports > State Reports > Batch HCFA 1500 Report link. The Batch HCFA 1500 Report page opens. Enter the criteria and click Create Report. The report displays in a separate browser tab and can be printed using the browser's print function.
The available report criteria are as follows:
| Option | Description | 
Vaccination Dates  | 
			Enter the From and Through dates for the vaccination date range. This field is required.  | 
		
Options:  | 
			To limit the report to just Medicaid, just Medicare, or both, select the option(s). To run the report without this limitation, make sure both options are deselected.  | 
		
Organization 
			 (IRMS)  | 
			To limit the report by Organization (IRMS) or Group, select it from the related drop-down list (after which the appropriate radio button is automatically selected), or select Do Not Limit to include all Organizations (IRMSes).  | 
		
Facility  | 
			To limit the report by Facility, select the Facility from the drop-down list (after which the radio button is automatically selected). To include all Facilities, select Do Not Limit (default).  | 
		
WyVIP PIN  | 
			To limit the report by WyVIP PIN, select it from the drop-down list (after which the checkbox is automatically selected). |